A5061095607- Vestibular and auditory disorders
- Glaucoma and retinal disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Ophthalmology and Eye Disorders
- Cerebral Venous Sinus Thrombosis
- Balance, Gait, and Falls Prevention
- Multisensory perception and integration
- Cardiovascular Health and Disease Prevention
- Meningioma and schwannoma management
- Pregnancy-related medical research
- Cerebrospinal fluid and hydrocephalus
- Ophthalmology and Visual Impairment Studies
- Tactile and Sensory Interactions
- Obstructive Sleep Apnea Research
- Head and Neck Surgical Oncology
- Hearing Loss and Rehabilitation
- Noise Effects and Management
House Clinic
2023
Johns Hopkins Medicine
2015-2020
Johns Hopkins University
2015-2020
<h3>Background/aims</h3> Patients with vestibular disease have been observed to concomitant cognitive and psychiatric dysfunction. We evaluated the association between vertigo, impairment conditions in a nationally representative sample of US adults. <h3>Methods</h3> performed cross-sectional analysis using 2008 National Health Interview Survey (NHIS), which included Balance Dizziness Supplement, questions about function comorbidity. (memory loss, difficulty concentrating, confusion)...
Recent studies suggest an association between vestibular and cognitive function. The goal of the study was to investigate whether function impaired in individuals with mild impairment (MCI) Alzheimer's disease (AD) compared cognitively normal individuals.Cross-sectional study.Outpatient memory clinic longitudinal observational unit.Older ≥55 years MCI or AD. Age, sex, education-matched controls were drawn from Baltimore Longitudinal Study Aging (BLSA).Saccular utricular assessed cervical...
Vestibular function declines with age, and emerging evidence suggests that vestibular loss is associated cognitive impairment. Whether dysfunction age-related decline unknown.We used data from the 1999-2002 National Health Nutrition Examination Surveys to evaluate influence of on performance in a nationally representative sample U.S. adults aged ≥60 years (n = 1,303). was measured modified Romberg test, by digit symbol substitution (DSS) score test. We also developed structural equation...
To investigate the relationship between vestibular loss associated with aging and age-related decline in visuospatial function.Cross-sectional analysis within a prospective cohort study.Baltimore Longitudinal Study of Aging (BLSA).Community-dwelling BLSA participants mean age 72 (range 26-91) (N = 183).Vestibular function was measured using vestibular-evoked myogenic potentials. Visuospatial cognitive tests included Card Rotations, Purdue Pegboard, Benton Visual Retention Test, Trail-Making...
Background: Vestibular inputs have been shown to play a critical role in spatial navigation. In this study, we sought evaluate whether vestibular loss due aging contributes impaired navigation as measured by the Triangle Completion Task (TCT). Materials and methods: We recruited three types of participants: young controls <55 years age, older ≥55 patients from Neurotology Clinic with evidence physiologic impairment but who did not any known disorder. performed cervical myogenic evoked...
Postural sway increases with age and peripheral sensory disease. Whether function is related to postural independent of in healthy adults unclear. Here we investigated the relationship between tests visual (VISFIELD), vestibular (CANAL or OTOLITH), proprioceptive (PROP), age, center mass area (COM) measured eyes open then closed on firm a foam surface. A cross-sectional sample 366 community dwelling from Baltimore Longitudinal Study Aging was tested. Multiple linear regressions examined...
Psychological distress affects health and care utilization. Hearing loss (HL) is highly prevalent undertreated, it may be a potentially modifiable risk factor for psychological distress.To investigate the association between HL, distress, mental utilization among adults in United States.This cross-sectional study included 25 665 individuals aged 18 years older who participated 2017 National Health Interview Survey, home-based nationally representative survey of noninstitutionalized US...
Objective: Rotational vestibular function declines with age resulting in saccades as a compensatory mechanism to improve impaired gaze stability. Small reductions rotational vestibulo-ocular reflex (VOR) gain that would be considered clinically normal have been associated saccades. We evaluated whether saccade characteristics varied of age, independent semicircular canal quantified by VOR gain. Methods: Horizontal was measured 243 participants 27-93 from the Baltimore Longitudinal Study...
Vestibulo-ocular reflex (VOR) gain is well-suited for identifying rotational vestibular dysfunction, but may miss partial progressive decline in age-related function. Since compensatory saccades might provide an alternative method subtle decline, we describe the relationship between VOR and healthy older adults.Horizontal was measured 243 subjects age 60 from Baltimore Longitudinal Study of Aging using video head impulse testing (HIT). Saccades each HIT were identified as either...
Standing on foam with eyes closed (FOEC) has been characterized as a measure of vestibular function; however, the relative contribution function and proprioceptive to FOEC test not well described. In this study, authors investigate relationship between peripheral sensory systems (vestibular proprioception) performance in cohort healthy adults.A total 563 community-dwelling adults (mean age, 72.7 [SD, 12.6] years; range, 27 93 years) participating Baltimore Longitudinal Study Aging were...
Idiopathic temporal bone meningoencephalocele with CSF leak is most often treated via middle fossa craniotomy and dural repair good results. This approach provides wide exposure of the floor lobe dura. However, in cases focal tegmen dehiscence, adequate for encephalocele resection fistula can be obtained through a keyhole cosmetically favorable endaural incision. We present three patients successfully idiopathic an subtemporal (EAST) craniotomy.